Mary J Christensen, MSN, APN | |
885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | |
(630) 790-1555 | |
(630) 545-3787 |
Full Name | Mary J Christensen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 885 Roosevelt Rd, Glen Ellyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770634842 | NPI | - | NPPES |
920540030 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
920540 | Other | IL | MEDICARE PTAN (GROUP) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 209.005290 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209005290 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Mary J Christensen, MSN, APN 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 790-1555 | Mary J Christensen, MSN, APN 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 790-1555 |
Dr. Janet Lea Gilbreath, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23w134 Sherbrooke Ln, Glen Ellyn, IL 60137 Phone: 630-854-4115 | |
Jeffrey E. Morris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 800-323-8622 Fax: 224-225-0368 | |
Jean Z Macary, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 885 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 630-545-3760 Fax: 630-545-3769 | |
Darcy Juraska, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 248 Grandview Ave, Glen Ellyn, IL 60137 Phone: 630-956-1530 Fax: 630-469-2552 | |
Andrea Perri, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 866-825-3227 | |
Lisa Capps, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 324 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 866-825-3227 | |
Anne C Maynard, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 300, Glen Ellyn, IL 60137 Phone: 630-416-7766 |